JEFFREY A BALKE (MD) – Hospitalist Physician, NPI 1285694109

JEFFREY A BALKE (MD) is a healthcare provider. based in Shakopee, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 33730 (MN). The NPI Number for JEFFREY A BALKE (MD) is 1285694109

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY A BALKE (MD)
NPI
1285694109
Phone
(952) 428-3535
Address
1601 Saint Francis Ave
Enumeration Date
24 March 2006
Last Update Date
11 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6122737838
Graduation Year
1989 (37 years ago)
PAC ID
8224065974
Group Practice PAC ID
1951213057
Professional Enrollment ID
I20050725000468
Address ID
MN554541450MI2450XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,636 INTERNAL MEDICINE in MN

Provider Addresses for JEFFREY A BALKE (MD)

  • 1601 Saint Francis Ave

    Suite 100

    Shakopee, MN 553793383

    Phone: (952) 428-3535

    Fax: (952) 428-3599

    Type: Location

  • 22 BRAMHALL ST

    PORTLAND, ME 041023134

    Phone: (207) 662-4618

    Type: Location

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • Saint Francis Avenue, Shakopee, Scott County, Minnesota, 55379, United States

    SUITE 100

    SHAKOPEE, MN 553793383

    Phone: (952) 428-3535

    Fax: (952) 428-3599

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050725000468IInternal MedicineMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5216$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4646$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3518$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1919$0
99239Hospital discharge day management, more than 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 55379)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951213057View full group profile

Reviews

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Frequently asked questions

Where can patients find JEFFREY A BALKE (MD)'s NPI?
You can confirm JEFFREY A BALKE (MD) with NPI 1285694109; it appears in the national provider directory.
Does this profile mean JEFFREY A BALKE (MD) is currently active?
Yes — JEFFREY A BALKE (MD) appears active in the national provider directory.
What kind of provider is JEFFREY A BALKE (MD)?
The page reflects Hospitalist Physician for JEFFREY A BALKE (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for JEFFREY A BALKE (MD)?
The page summarizes Shakopee, Minnesota for JEFFREY A BALKE (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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